Web-based Parenting Intervention for Mothers of Infants At-Risk for Maltreatment

针对面临虐待风险的婴儿母亲的基于网络的育儿干预

• 批准号: 8042418
• 负责人: Kathleen M Baggett
• 金额: $ 63.22万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-28 至 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8042418
• 关键词: Address; Attention; Attitude; Behavioral; Budgets; Child; Child Abuse and Neglect; Child Behavior; Clinical Trials Design; Communication; Communities; Comprehension; Computer software; Computers; Conflict (Psychology); Cost Analysis; Cost-Benefit Analysis; Development; Drug usage; Early treatment; Economics; Educational Intervention; Effectiveness; Electronic Mail; Electronics; Emotional; Enrollment; Ethnic Origin; Evaluation; Evidence based intervention; Experimental Designs; Face; Failure; Family; Foundations; Funding; Grant; Head Start Program; Income; Infant; Infant Behavior; Infant Development; Internet; Intervention; Kansas; Knowledge; Language; Language Tests; Latino; Learning; Life; Linguistics; Location; Low income; Maintenance; Maternal Behavior; Measures; Mental Health; Mental Health Services; Monitor; Mono-S; Mothers; Multimedia; Online Systems; Oregon; Outcome; Parent-Child Relations; Parenting Education; Parenting behavior; Parents; Participant; Policies; Population; Population Heterogeneity; Poverty; Process Measure; Psychopathology; Randomized; Randomized Controlled Trials; Readiness; Recruitment Activity; Relative (related person); Research; Risk; Rural; Sampling; Schools; Services; Social support; Special Education; Substance abuse problem; Technology; Telephone; Testing; Time; Training; Training Programs; Training Support; Translations; Variant; Video Recording; Work; abstracting; arm; base; cohort; computer network; computer program; cost; depressive symptoms; digital; early childhood; experience; family structure; follow-up; improved; infancy; innovation; intervention effect; laptop; maltreatment; member; peer; primary outcome; programs; response; rural area; satisfaction; skills; social; tool; trend

DESCRIPTION (provided by applicant): Web-based Parenting Intervention for Mothers of Infants at Risk for Maltreatment Project Summary/Abstract Parents of infants living in poverty are at significantly elevated risk of a host of detrimental outcomes, including the development of child behavior problems, neglect and abuse of children, child learning problems and parental substance abuse. Research has found that early interventions to improve parenting practices were effective to ameliorate these outcomes. Yet, there exist major obstacles to the effective delivery of mental health services, particularly in rural areas. The need of rural families for mental health services is reaching crisis proportions due to the dearth of trained professionals. In addition, the meteoric rise of Internet use has created a new avenue for people to communicate and share ideas. These two trends are helping fuel the demand for mental health services and on-line support. Internet programs can be interactive and provide social support from peers and professionals. Through the use of recent advances in multimedia technology and software as well as the rise of computer networking via the Internet, there now exists an opportunity to provide such monitoring of outcomes and remote contact for rural locations. Prior developmental R34 research ("Infant Net") successfully adapted and pilot tested an existing empirically proven parenting program, for delivery via the Internet, enhanced with weekly professional contact. This research provided 40 mothers of infants 3.5 to 7 months (at enrollment) with a computer, computer camera, Internet connection, and technical training/support for 6 months to evaluate the digital translation. Mother-infant dyads were randomized to Experimental or Computer/Control conditions. Results found significant change with infant-behavioral and positive trends were demonstrated in parenting behaviors. Mothers rated the both computer program and interaction with coaches to be very high. These encouraging developmental research results provide a very good empirical base for a fully powered randomized control trial to test effectiveness. In its developmental current form, Infant Net successfully delivered the PALS program to mothers in English. In the current study, we seek to broaden our scope to include monolingual Spanish-speaking Latino families. Using the existing Spanish-language translation of the PALS program as a foundation, we will develop a culturally and linguistically appropriate Infant Net-Spanish intervention delivery tool. In this proposed application using an experimental design, we will evaluate the impact of the interactive Internet parent training intervention as compared to control. After recruiting from Early Head Start program in rural and urban Oregon and Kansas, 200 English- and Spanish-speaking mothers (in 4 cohorts) will be randomized to either the intervention or computer-control conditions. Parent coaches will make weekly, phone calls and email to assist parents with the use of the computer and questions/concerns about the program. Parenting practices will serve as the primary outcome. The proposed randomized control trial design will test the effectiveness of an Internet parenting intervention in effecting parenting behavior. PUBLIC HEALTH RELEVANCE: This innovative interactive Internet-based parent education intervention will help serve to promote the social emotional development and communication skills of infants to decrease the chances of child maltreatment in low-income, culturally diverse, families.

描述（由申请人提供）：基于网络的育儿干预的母亲的婴儿在虐待的风险项目摘要/摘要生活在贫困中的婴儿的父母是在显着升高的风险的一系列有害的结果，包括儿童行为问题的发展，忽视和虐待儿童，儿童学习问题和父母的药物滥用。研究发现，早期干预，以改善父母的做法是有效的，以改善这些结果。然而，在有效提供心理健康服务方面存在重大障碍，特别是在农村地区。由于缺乏训练有素的专业人员，农村家庭对心理健康服务的需求达到了危机的程度。此外，互联网使用的迅速增加为人们交流和分享想法创造了新的途径。这两个趋势有助于推动对心理健康服务和在线支持的需求。互联网程序可以是互动的，并提供来自同行和专业人士的社会支持。通过使用多媒体技术和软件的最新进展以及通过因特网建立计算机网络的兴起，现在有机会为农村地区提供这种成果监测和远程联系。先前的发展R34研究（“婴儿网”）成功地调整和试点测试了现有的经验证明育儿计划，通过互联网提供，加强每周的专业联系。这项研究为40名婴儿3.5至7个月（入组时）的母亲提供了6个月的计算机、计算机摄像头、互联网连接和技术培训/支持，以评估数字翻译。将母婴二对体随机分配至实验或计算机/对照条件。结果发现，随着婴儿行为的改变，父母的养育行为呈现出积极的趋势。母亲们对计算机程序和与教练的互动都评价很高。这些令人鼓舞的发展研究结果提供了一个非常好的经验基础，充分把握随机对照试验，以测试有效性。在其发展的当前形式，婴儿网成功地提供了帕尔斯计划的母亲在英语。在目前的研究中，我们寻求扩大我们的范围，包括单语讲西班牙语的拉丁美洲家庭。使用现有的西班牙语翻译的帕尔斯程序为基础，我们将开发一个文化和语言适当的婴儿网络西班牙语干预交付工具。在这个拟议的应用程序中使用的实验设计，我们将评估互动互联网家长培训干预的影响相比，控制。从俄勒冈州和堪萨斯农村和城市的早期开端计划招募后，200名讲英语和西班牙语的母亲（分为4个队列）将被随机分配到干预或计算机控制条件下。家长教练将每周打电话和发电子邮件，以帮助家长使用电脑和问题/关注的程序。育儿实践将作为主要成果。建议的随机对照试验设计将测试互联网育儿干预在影响育儿行为的有效性。 公共卫生关系：这一创新的互动式互联网家长教育干预措施将有助于促进婴儿的社会情感发展和沟通技能，以减少低收入和文化多样性家庭虐待儿童的机会。